The 80 patients who express interest in participating in the study and meet inclusion criteria per chart review will be invited to take part in a 30-minute individual interview with one of the two MBTR course instructors prior to beginning the program. The 30-minute individual interview will serve as an orientation to the MBTR program at which time consents will be signed. Subjects will be randomly assigned to 2 groups of 32 participants, and at the completion of the 30-minute interview a research assistant will administer baseline psychometric assessments (see below for the list of measures used).